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<title>SAHAKAR MULTITRADE PVT.LTD</title>
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      <h1>Sahakar multitrade pvt.ltd</h1>
      <h2>sahakar A.L.Ltd. group of company</h2>
      <h2>Reg. l65990mh1991tlc063257</h2>
      <h2>Office :- Pardi Naka Chowk, Nagpur-8</h2>
    </div>
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  <hr />
  <div class="containt-dtails">
    <div class="sub-title">
      <h2>Application form</h2>
    </div>
    <div class="submition-containt">
    <!-- form id="personalDetailForm"> -->
      <table class="content" border="0">
        
          <tr>
            <td colspan="6"  class="single-text"><span>personal iformation</span> </td>
          </tr >
          <tr >
            <td><label for="application_name"><span>application name</span> </label></td>
            <td><input type="text" alt="Enter_Name" id="applicant_name" class="text-box saveValue"  name="applicant_name"/></td>
            <td><label for="father/husband_name"><span>father/husband name</span></label></td>
            <td colspan="2"><input type="text" alt="Enter_Name" id="fatherOrhusband name" class="text-box saveValue" name="father_husband_name"/></td>
            <td rowspan="4" colspan="1">
            <img id="applicantImg"  src="" />
             <!--<br></br>
            <form  id="imageForm" method="post" enctype="multipart/form-data">
            	 <input type="file" name="file" value="Upload Photos"id="appliImgUploadBtn"/>
           	</form> -->
           
            </td>
          </tr>
          <tr>
            <td><label for="date"><span>date of birth</span></label></td>
            <td colspan="4">
            <!-- <input type="text" id="datepicker1" class="saveValue hasDatepicker" name="dateOfBirth" /></td> -->
            <input type="text" id="dateOfBirth" class="saveValue" name="dateOfBirth"/></td>
          </tr>
          <tr>
            <td><label for="date"><span>gender</span></label></td>
            <td colspan="4" id="SexClass">
            </td>
          </tr>
          <tr>
            <td><label for="staus">Marital Status</label></td>
            <td  colspan="4"><input type="text" id="maritalstatus" class="saveValue" name="MaritalStatus"/></td>
          </tr>
          <tr>
            <td><label for="current_job">current job</label></td>
            <td><input type="text" id="currentJob" class="saveValue" name="CurrentJob"/></td>
            <td><label for="type_salary" id="type_salary" >type salary</label></td>
            <td colspan="3" id="saleryType">
            
           
             </td>
          </tr>
          <tr>
            <td><label for="address">address</label></td>
            <td colspan="5"><textarea rows="4" cols="50" id="address" name="address" class="saveValue"></textarea></td>
          </tr>
          <tr>
            <td><label for="city">city</label></td>
            <td><select class="saveValue" id="city" name="City">
                <option value="Mumbai">Mumbai</option>
                <option value="Thane">Thane</option>
                <option value="Nagpur">Nagpur</option>
                <option value="solapur">solapur</option>
                <option value="Nanded">Nanded</option>
              </select></td>
            <td><label for="district">district</label></td>
                        <td><select class="saveValue" id="district" name="District">
                <option value="bhandara">bhandara</option>
                <option value="gondia">gondia</option>
                <option value="Nagpur">Nagpur</option>
                <option value="gadchiroli">gadchiroli</option>
                <option value="chandrapur">chandrapur</option>
                <option value="wardha">wardha</option>
              </select></td>

            <td><label for="state">state</label></td>
                                    <td><select class="saveValue" id="state" name="State">
                <option value="maharashtra">maharashtra</option>
                <option value="punjab">punjab</option>
                <option value="gujrat">gujrat</option>
                <option value="utter pradesh">utter pradesh</option>
                <option value="madhya pardesh">madhya pardesh</option>
                <option value="chattisghar">chattisghar</option>
              </select></td>

          </tr>
          <tr>
            <td><label for="pin_code">pin code</label></td>
            <td><input type="text"  id="pin_code" class="saveValue" name="Pin_Code"/></td>
            <td><label for="phone_no">phone no</label></td>
            <td><input type="text"  id="phone_no" class="saveValue" name="Phone_No"/></td>
            <td style="white-space: nowrap;"><label for="mobile_no" >mobile no</label></td>
            <td><input type="text"  id="mobile_no" class="saveValue" name="mobileNo"/></td>
          </tr>
         <!--  </table>
         </form>
         <form id="bankInformationForm">
          <table> -->
          <tr>
            <td colspan="6" class="single-text"><span>bank information</span></td>
          </tr>
          <tr>
            <td><label for="bank_name">bank name</label></td>
            <td><input type="text" id="bank_name" name="bank_name" class="saveValue"/></td>
            <td><label for="branch_city">branch city</label></td>
            <td colspan="3"><input type="text" id="branch_city" name="branch_city" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="account_no">account no</label></td>
            <td><input type="text" id="account_no" name="account_no" class="saveValue"/></td>
              <td><label for="ifsc"> IFSC code</label>        </td>
         
            <td colspan="3"><input type="text" id="ifsc" name="IFSC_code" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="ci_no">
              C.I.No</label></td>
            <td><input type="text" id="c_i_no" name="c_i_no" class="saveValue"/></td>
            <td><label for="pan_no">
              pan no</label></td>
            <td colspan="3"><input type="text" id="pan_no" name="pan_no" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="nomine_name">nomine name</label></td>
            <td><input type="text" id="nomine_name" name="nomine_name" class="saveValue"/></td>
            <td><label for="realtion">realtion</label></td>
            <td colspan="3"><input type="text" id="realtion" name="realtion" class="saveValue"/></td>
          </tr>
          <!-- </table>
          </form>
          <form id="rtoPassingInfoForm">
       	 <table> -->
          <tr>
            <td colspan="6" class="single-text"><span>document rto passing</span></td>
          </tr>
          <tr>
            <td id="rtoDocument" colspan="6">
            
            </td>
          </tr>
          
          <tr>
            <td><label for="email_address" class="rto-label">email address</label></td>
            <td colspan="5"><input type="text" id="email_address" class="rto-chk-box saveValue" name="email_address"/></td>
          </tr>
         <!-- </table>
         </form>
         <form id="vehicleDetailsInfoForm">
       	 <table> -->
          <tr>
            <td colspan="6" class="single-text"><span>Vehicle details</span></td>
          </tr>
          <tr>
            <td><label for="booking_purchase_of_product">booking purchase of product</label></td>
            <td><input type="text" id="booking_purchase_of_product" class="saveValue" name="booking_purchase_of_product"/></td>
            <td><label for="show_room_on">show room on road prise/Accessories</label></td>
            <td colspan="3"><input type="text" id="show_room_on" name="show_room_onPrice" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="ch_dd_no" >chaque/DD no</label></td>
            <td><input type="text" id="ch_dd_no" name="ch_dd_no" class="saveValue"/></td>
            <td><label for="mode-of_payment">mode of payment</label></td>
            <td id="modeOfPayment" colspan="3"></td>
          </tr>
          <tr>
            <td><label for="bank">bank</label></td>
            <td><input type="text" id="bank" name="VbankName" class="saveValue"/></td>
            <td><label for="amount">amount</label></td>
            <td><input type="text" id="amount" name="amount" class="saveValue"/></td>
            <td><label for="date"><span>date</span></label></td>
            <td><input type="text" id="VahicalDate" name="VahicalDate" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="fainance_by">fainance by</label></td>
            <td><input type="text" id="fainance_by" class="saveValue" name="fainance_by"/></td>
            <td><label for="lone">lone</label></td>
            <td colspan="3"><input type="text" id="lone" name="lone" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="dealers_showroom">dealer/Showroom</label></td>
            <td><input type="text" id="dealers_showroom" name="dealers_showroom" class="saveValue"/></td>
            <td><label for="down_payment">down payment</label></td>
            <td colspan="3"><input type="text" id="downpayment" name="downpayment" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="inteaset">inteaset</label></td>
            <td><input type="text" id="inteaset" name="inteaset" class="saveValue"/></td>
            <td><label for="emi_&amp;_month">EMI &amp; month</label></td>
            <td><input type="text" id="emi_amp_month" name="emi_amp_month" class="saveValue"/></td>
            <td style="white-space: nowrap;"><label for="date_of_emi">date of EMI</label></td>
            <td><input type="text" id="date_of_emi" name="date_of_emi" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="sahakar_a_l">sahakar A.I.LTD.D.P</label></td>
            <td><input type="text" id="sahakar_a_l" name="sahakar_a_l" class="saveValue"/></td>
            <td><label for="sub_cidy">sub cidy</label></td>
            <td colspan="3"><input type="text" id="sub_cidy" name="sub_cidy" class="saveValue"/></td>
            <!-- <td><label for="date_of_emi">date of EMI</label></td>
            <td><input type="text" id="date_of_emi" name="date_of_emi" class="saveValue"/></td> -->
          </tr>
          <tr>
            <td><label for="moto_vehicle_no">motor vehicle no</label></td>
            <td><input type="text" id="moto_vehicle_no" name="moto_vehicle_no" class="saveValue"/></td>
            <td><label for="engine_no">engin no</label></td>
            <td colspan="3"><input type="text" id="engine_no" name="engine_no" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="chassis_no">chassis no</label></td>
            <td><input type="text" id="chassis_no" name="chassis_no" class="saveValue"/></td>
            <td><label for="color">color</label></td>
            <td colspan="3"><input type="text" id="color" name="color" class="saveValue"/></td>
          </tr>
        <!-- </table>
        </form>
        <form id="finalDetailsInfoForm">
        <table> -->
          <tr>
            <td colspan="6" class="single-text"><span>final details</span></td>
          </tr>
          <tr>
            <td><label for="promotors_name">promotors name</label></td>
            <td colspan="6"><input type="text" id="promotors_name" name="promotors_name" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="id_no">id no</label></td>
            <td><input type="text" id="id_no" name="id_no" class="saveValue"/></td>
            <td><label for="cell_no">cell no</label></td>
            <td colspan="3"><input type="text" id="cell_no" name="cell_no" class="saveValue"/></td>
          </tr>
          <tr>
            <td><label for="date">date</label></td>
            <td colspan="6"><input type="text" id="FinalDate" name="FinalDate" class="saveValue"/></td>
          </tr>
         
        
      </table>
    <!-- </form> -->
    </div>
  </div>
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